Second Opinions & Revision Surgery
Some of the most important consultations in this practice begin with a sentence like “I had surgery somewhere else, and something isn’t right.” Others begin with “My facelift is eighteen years old — what now?” Both deserve the same thing: an unhurried, honest, surgeon-led assessment of what was done, what your tissues look like now, and what — if anything — should be done about it. Dr. Rafizadeh has practiced plastic surgery in Morristown, NJ for more than 40 years, and complex, corrective, and secondary cases are where that experience matters most: revision demands judgment and restraint, not just technique.
“A revision patient has already been disappointed once, so the worst thing I can do is over-promise. My job is to diagnose what actually happened — skin pulled instead of structure repositioned, too much removed, an implant too large for the frame — and then recommend the most conservative operation that genuinely fixes it. Sometimes that operation is no operation at all.”
— Dr. Farhad Rafizadeh, MD FACS
When to Seek a Second Opinion
Patients come for a second opinion when a facelift left them looking pulled, tight, or windswept rather than refreshed; when eyelid surgery changed the shape or character of their eyes; when a rhinoplasty took too much and the nose no longer fits the face; when breast implants feel or look too large, too high, or too hard; when results from 10–20 years ago have simply aged and they want a conservative refresh; or when another surgeon has recommended more surgery than they want and they need an independent, unpressured read on whether all of it is necessary. All of these are legitimate reasons to be examined by a second set of experienced eyes.
What We Revise
Revision work in this practice concentrates where Dr. Rafizadeh’s experience runs deepest.
Secondary and tertiary facelifts, correcting the pulled or windswept look with deep plane technique; revision eyelid surgery for rounded or hollowed eyes; revision rhinoplasty.
Conservative implant downsizing and exchange, correction of contracture and malposition, revision with a lift, and implant removal when implant-free is the right answer.
Conservative secondary procedures for results that were good in their day and have simply aged — a measured refresh that restores naturalness without aggressive re-work.
The Honest Part: Restraint First
Revision surgery operates in scarred planes with less spare tissue and less room for error — which is exactly why the guiding principle is restore, don’t redo. The goal of a corrective operation is naturalness: releasing what was over-tightened, replacing what was over-removed, downsizing what was oversized. And an honest revision practice says no regularly — no to operating on tissue that needs more time to soften, no to chasing perfection with a third operation when the second achieved what mattered, and no to surgery when the honest answer is that nothing needs to be done. That candor is the reason patients are sent here by other physicians and former patients alike.
→ Request a Second-Opinion ConsultationAn unhurried, surgeon-led assessment of previous work — with an honest recommendation, even when that recommendation is to do nothing. Call (973) 267-0928.What a Second-Opinion Consultation Looks Like
Every consultation is conducted personally by the surgeon — never delegated to a coordinator or sales staff. Expect a long, detailed visit: a review of your operative records when available, a careful physical examination, photographic analysis of what was done and how your tissues have responded, and a frank conversation about what is achievable. You leave with a clear recommendation — a specific corrective plan, a staged approach over time, or the reassurance that waiting or doing nothing is the wisest course. Patients travel from across New Jersey and New York City for this assessment; out-of-town patients can begin with the practice’s virtual consultation pathway.